Ivy Chung MD PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

IVY CHUNG MD PC

Practice address

25220 Northern Blvd Ste 202
Little Neck, NY 11362

Phone

(347) 836-8914

Fax

(347) 835-4870

NPI assigned

Nov 9, 2018

Last updated

Sep 6, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ivy Chung, MDNPI 1477822757

Title

President

Phone

(917) 292-6971

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivy D Chung, M.D.

  • Family Medicine Physician
  • Commack, NY
  • NPI 1477822757
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1225506058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25220 NORTHERN BLVD STE 202",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621344",
            "telephone_number": "347-836-8914",
            "fax_number": "347-835-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25220 NORTHERN BLVD STE 202",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "347-836-8914",
            "fax_number": "347-835-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY CHUNG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-292-6971",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hui-Tzu Chou NP Family Health PC
• Michael L Hundert, MD
• Perry M. Iacovetti, D.D.S.
• Paul Im, DDS
• Andrew L Isopo, M.D.
• J Ford Medical PC
• Mark L Jacobs, D.C.
• Claire Jacobsohn, P.T.
• Baile Jaffe
• Rafael A Javier

• Adult Medicine Physician in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.